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id="1463743647584370689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743647584370689_Note"></span></div><div class="itemTR" id="1463743649920598017_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743649920598017" itemCode="caseId"><a id="1463743649920598017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743649920598017_Note"></span></div><div class="itemTR" id="1463743653267652610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD">患者身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743653267652610" itemCode="IDCard"><a 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itemCode="CM-0-1-4-2"><a id="1463743664843931650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743664843931650_Note"></span></div><div class="itemTR" id="1463743667222102017_Row" dic='[{"formItemId":1463743667222102017,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744095292768257,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743667222102017,"isDefault":1,"updateDate":1710291760000,"code":"n","id":1463744096114851842,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743667222102017" itemCode="CM-0-1-5"></div><a id="1463743667222102017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743667222102017_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463743669671575553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743669671575553" itemCode="CM-0-2-1-1"><a id="1463743669671575553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743669671575553_Note"></span></div><div class="itemTR" id="1463743671928111105_Row" dic='[{"formItemId":1463743671928111105,"isDefault":0,"updateDate":1710291760000,"code":"M","id":1463744097708687362,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463743671928111105,"isDefault":0,"updateDate":1710291760000,"code":"F","id":1463744098493022210,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743671928111105" itemCode="CM-0-2-1-2"></div><a id="1463743671928111105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743671928111105_Note"></span></div><div class="itemTR" id="1463743674155286530_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743674155286530" itemCode="CM-0-2-1-3"><a id="1463743674155286530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743674155286530_Note"></span></div><div class="itemTR" id="1463743676449570817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743676449570817" itemCode="CM-0-2-1-5"><a id="1463743676449570817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743676449570817_Note"></span></div><div class="itemTR" id="1463743678815158274_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743678815158274" itemCode="CM-0-2-4-1"><a id="1463743678815158274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743678815158274_Note"></span></div><div class="itemTR" id="1463743682590031873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743682590031873" itemCode="CM-0-2-4-2"><a id="1463743682590031873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743682590031873_Note"></span></div><div class="itemTR" id="1463743684884316161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-1" class="itemDescTD">入住ICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743684884316161" itemCode="CM-0-2-5-1"><a id="1463743684884316161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743684884316161_Note"></span></div><div class="itemTR" id="1463743687514144769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-2" class="itemDescTD">离开ICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743687514144769" itemCode="CM-0-2-5-2"><a id="1463743687514144769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743687514144769_Note"></span></div><div class="itemTR" id="1463743689892315138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743689892315138" itemCode="CM-0-2-6-1"><a id="1463743689892315138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743689892315138_Note"></span></div><div class="itemTR" id="1463743692220153857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743692220153857" itemCode="CM-0-2-6-2"><a id="1463743692220153857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743692220153857_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463743694833205250_Row" dic='[{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744100057497601,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744100862803969,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744101672304641,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744102465028098,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744103287111682,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744104096612353,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"f","id":1463744104872558593,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"g","id":1463744105682059265,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"h","id":1463744106483171329,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1463743694833205250,"isDefault":0,"updateDate":1710291760000,"code":"i","id":1463744107296866305,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743694833205250" itemCode="CM-0-3-1"><a id="1463743694833205250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743694833205250_Note"></span></div><div class="itemTR" id="1463743697047797761_Row" dic='[{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744108890701825,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744109750534146,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744111730245633,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744112535552001,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744113416355841,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463743697047797761,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744114699812866,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743697047797761" itemCode="CM-0-3-2"><a id="1463743697047797761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743697047797761_Note"></span></div><div class="itemTR" id="1463743699254001665_Row" dic='[{"formItemId":1463743699254001665,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744116411088898,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743699254001665,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744117300281345,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463743699254001665,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744118101393410,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463743699254001665,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744118978002946,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463743699254001665,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744119779115009,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743699254001665" itemCode="CM-0-3-3"><a id="1463743699254001665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743699254001665_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('ASD-1: 术前评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-1: 术前评估</div><div title="ASD-1: 术前评估"><p title="手术前实施超声心动图检查评估" class="itemsubCat">手术前实施超声心动图检查评估</p><div class="itemTR" id="1463743701632172034_Row" dic='[{"formItemId":1463743701632172034,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744121372950530,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743701632172034,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744122174062593,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施手术前的超声心动图评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743701632172034" itemCode="ASD-1-1-1"></div><a id="1463743701632172034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743701632172034_Note"></span></div><p title="手术前实施超声心动图检查评估结果" class="itemsubCat">手术前实施超声心动图检查评估结果</p><div class="itemTR" id="1463743703964205057_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室射血分数（LVEF）测量值（%）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743703964205057" itemCode="ASD-1-1-2"><a id="1463743703964205057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743703964205057_Note"></span></div><div class="itemTR" id="1463743708850569218_Row" dic='[{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744127769264130,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744128549404674,"indNo":2,"isActive":1,"desc":"继发孔型"},{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744129346322434,"indNo":3,"isActive":1,"desc":"静脉窦型"},{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744130134851585,"indNo":4,"isActive":1,"desc":"原发孔型"},{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744130923380737,"indNo":5,"isActive":1,"desc":"单心房"},{"formItemId":1463743708850569218,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744131703521281,"indNo":6,"isActive":1,"desc":"冠状静脉窦型"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房间隔缺损分型</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743708850569218" itemCode="ASD-1-1-3"><a id="1463743708850569218_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743708850569218_Note"></span></div><div class="itemTR" id="1725347323329921026_Row" dic='[{"formItemId":1725347323329921026,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1725347358771789825,"indNo":1,"isActive":1,"desc":"未查"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-6-6" class="itemDescTD">是否有房间隔缺损的大小记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725347323329921026" itemCode="ASD-1-1-6-6"></div><a id="1725347323329921026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725347323329921026_Note"></span></div><div class="itemTR" id="1463743714026340354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-1-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房间隔缺损的大小</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743714026340354" itemCode="ASD-1-1-6-4"><a id="1463743714026340354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743714026340354_Note"></span></div><div class="itemTR" id="1725347323602550785_Row" dic='[{"formItemId":1725347323602550785,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1725347358885036033,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725347323602550785,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1725347358947950593,"indNo":2,"isActive":1,"desc":"小缺损-房间隔缺损直径3-6mm"},{"formItemId":1725347323602550785,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1725347359019253762,"indNo":3,"isActive":1,"desc":"中缺损-房间隔缺损直径6-12mm"},{"formItemId":1725347323602550785,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1725347359082168321,"indNo":4,"isActive":1,"desc":"大缺损-房间隔缺损直径大于12mm"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房间隔缺损直径分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725347323602550785" itemCode="ASD-1-1-6-7"><a id="1725347323602550785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725347323602550785_Note"></span></div><div class="itemTR" id="1463743716312236034_Row" dic='[{"formItemId":1463743716312236034,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744136766046210,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743716312236034,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744137676210177,"indNo":2,"isActive":1,"desc":"左向右"},{"formItemId":1463743716312236034,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744138498293762,"indNo":3,"isActive":1,"desc":"右向左"},{"formItemId":1463743716312236034,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744139291017218,"indNo":4,"isActive":1,"desc":"双向分流信号"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-4" class="itemDescTD">多普勒血流</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743716312236034" itemCode="ASD-1-1-4"><a id="1463743716312236034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743716312236034_Note"></span></div><div class="itemTR" id="1463743718598131714_Row" dic='[{"formItemId":1463743718598131714,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744140876464130,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743718598131714,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744141664993281,"indNo":2,"isActive":1,"desc":"比值"},{"formItemId":1463743718598131714,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744142445133825,"indNo":3,"isActive":1,"desc":"未查"}]'><div style="display:inline-block;width:35%;" title="ASD-1-1-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肺循环和体循环血流量比值</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743718598131714" itemCode="ASD-1-1-7-1"><a id="1463743718598131714_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743718598131714_Note"></span></div><div class="itemTR" id="1463743722276536321_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-1-7-2" class="itemDescTD">肺循环血流量</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743722276536321" itemCode="ASD-1-1-7-2"><a id="1463743722276536321_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743722276536321_Note"></span></div><div class="itemTR" id="1463743724621152258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-1-7-3" class="itemDescTD">体循环血流量</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743724621152258" itemCode="ASD-1-1-7-3"><a id="1463743724621152258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743724621152258_Note"></span></div><p title="手术前的心导管检查评估" class="itemsubCat">手术前的心导管检查评估</p><div class="itemTR" id="1463743729218109441_Row" dic='[{"formItemId":1463743729218109441,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744144068329473,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743729218109441,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744144869441537,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施手术前的心导管检查评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743729218109441" itemCode="ASD-1-2-1"></div><a id="1463743729218109441_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743729218109441_Note"></span></div><div class="itemTR" id="1463743731952795649_Row" dic='[{"formItemId":1463743731952795649,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744146501025794,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743731952795649,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744147302137858,"indNo":2,"isActive":1,"desc":"比值"},{"formItemId":1463743731952795649,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744149202157570,"indNo":3,"isActive":1,"desc":"未查"}]'><div style="display:inline-block;width:35%;" title="ASD-1-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肺循环血量/体循环血量比值</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743731952795649" itemCode="ASD-1-2-2-3"><a id="1463743731952795649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743731952795649_Note"></span></div><div class="itemTR" id="1463743735778000898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肺循环血量</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743735778000898" itemCode="ASD-1-2-2-1"><a id="1463743735778000898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743735778000898_Note"></span></div><div class="itemTR" id="1463743738000982017_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>体循环血量</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743738000982017" itemCode="ASD-1-2-2-2"><a id="1463743738000982017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743738000982017_Note"></span></div><div class="itemTR" id="1463743740299460610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-1-2-2" class="itemDescTD">肺循环血量/体循环血量比值(QP/QS)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743740299460610" itemCode="ASD-1-2-2"><a id="1463743740299460610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743740299460610_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('ASD-2: 手术适应证')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-2: 手术适应证</div><div title="ASD-2: 手术适应证"><p title="手术方法的选择" class="itemsubCat">手术方法的选择</p><div class="itemTR" id="1463743752911732738_Row" dic='[{"formItemId":1463743752911732738,"isDefault":0,"updateDate":1710291760000,"code":"def","matchRule":"","updateUser":"admin","id":1463744159113297921,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463743752911732738,"isDefault":0,"updateDate":1710291760000,"code":"a","matchRule":"","updateUser":"admin","id":1463744159910215682,"indNo":2,"isActive":1,"keyword":"直视.{0,8}修补","desc":"直视下房间隔缺损修补术"},{"formItemId":1463743752911732738,"isDefault":0,"updateDate":1710291760000,"code":"b","matchRule":"","updateUser":"admin","id":1463744160698744834,"indNo":3,"isActive":1,"keyword":"经皮.{0,8}封堵","desc":"经皮介入导管房间隔缺损封堵术"},{"formItemId":1463743752911732738,"isDefault":0,"updateDate":1710291760000,"code":"c","matchRule":"","updateUser":"admin","id":1463744161487273986,"indNo":4,"isActive":1,"keyword":"杂交","desc":"杂交技术"},{"formItemId":1463743752911732738,"isDefault":0,"updateDate":1710291760000,"code":"oth","matchRule":"","updateUser":"admin","id":1463744162313551873,"indNo":5,"isActive":1,"keyword":"","desc":"其他"}]'><div style="display:inline-block;width:35%;" title="ASD-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术方法的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743752911732738" itemCode="ASD-2-1-2"><a id="1463743752911732738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743752911732738_Note"></span></div><div class="itemTR" id="1463743761132568578_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-2-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743761132568578" itemCode="ASD-2-1-2-1"><a id="1463743761132568578_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743761132568578_Note"></span></div><p title="ASD适应证" class="itemsubCat">ASD适应证</p><div class="itemTR" id="1463743742694408193_Row" dic='[{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744151911677953,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744152683429890,"indNo":2,"isActive":1,"desc":"房间隔缺损诊断明确"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744153501319169,"indNo":3,"isActive":1,"desc":"患者临床症状明显"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744154285654017,"indNo":4,"isActive":1,"desc":"右心容量负荷增加"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744155078377474,"indNo":5,"isActive":1,"desc":"合并其他需要手术矫治的心脏畸形"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744155862712321,"indNo":6,"isActive":1,"desc":"心导管检查Qp/Qs>1.5"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"oth","id":1463744156676407297,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1463743742694408193,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1463744157498490881,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ASD-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>直视下房间隔缺损修补术适应证</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743742694408193" itemCode="ASD-2-1-1"><a id="1463743742694408193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743742694408193_Note"></span></div><div class="itemTR" id="1463743745387151361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-2-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ASD适应证</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743745387151361" itemCode="ASD-2-1-1-1"><a id="1463743745387151361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743745387151361_Note"></span></div><p title="经皮ASD介入封堵治疗适应证及术式的选择" class="itemsubCat">经皮ASD介入封堵治疗适应证及术式的选择</p><div class="itemTR" id="1725347325754228737_Row" dic='[{"formItemId":1725347325754228737,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1725347361238040577,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725347325754228737,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1725347361305149442,"indNo":2,"isActive":1,"desc":"推荐C 年龄≥2岁且体重≥10 kg的继发孔型ASD患者"},{"formItemId":1725347325754228737,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1725347361376452609,"indNo":3,"isActive":1,"desc":"推荐B 有右心室容量超负荷证据且无肺动脉高压或左心疾病的继发孔型ASD患者，无论有无症状，推荐关闭ASD"},{"formItemId":1725347325754228737,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1725347361447755778,"indNo":4,"isActive":1,"desc":"推荐B 在缺损适合封堵的情况下（ASD边缘距冠状静脉套，上、下腔静脉及肺静脉开口距离25 mm；距离房室瓣距离≥7 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无血流动力学意义且无栓塞危险因素（如使用经静脉起搏系统、长期留置静脉导管或高凝状态等）的继发孔型ASD"},{"formItemId":1725347325754228737,"isDefault":0,"updateDate":1710291760000,"code":"i","id":1725347361879769089,"indNo":10,"isActive":1,"desc":"不推荐C 重度肺动脉高压伴双向分流，艾森曼格综合征"}]'><div style="display:inline-block;width:35%;" title="ASD-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>经皮ASD介入封堵治疗的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725347325754228737" itemCode="ASD-2-2-1"><a id="1725347325754228737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725347325754228737_Note"></span></div><div class="itemTR" id="1725347325880057857_Row" dic='[{"formItemId":1725347325880057857,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1725347362089484289,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725347325880057857,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1725347362152398849,"indNo":2,"isActive":1,"desc":"放射线引导经皮ASD封堵术"},{"formItemId":1725347325880057857,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1725347362223702017,"indNo":3,"isActive":1,"desc":"单纯超声引导经皮ASD封堵术"}]'><div style="display:inline-block;width:35%;" title="ASD-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>经皮ASD封堵术式的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725347325880057857" itemCode="ASD-2-2-2"><a id="1725347325880057857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725347325880057857_Note"></span></div><p title="常用房间隔缺损封堵器的材料" class="itemsubCat">常用房间隔缺损封堵器的材料</p><div class="itemTR" id="1463743763573653505_Row" dic='[{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744163945136130,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744164955963394,"indNo":2,"isActive":1,"desc":"Amplatzer封堵器，是由镍钛记忆合金编织而成的，内部填充的是高分子聚合材料"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744165807407106,"indNo":3,"isActive":1,"desc":"HELEX封堵器，是最新型封堵器，是由可以延伸的聚四氟乙烯补片，缝合在超弹性的镍肽合金丝支架上"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744166679822338,"indNo":4,"isActive":1,"desc":"CardiolSEAL封堵器，是由镍钛金属臂构成，上面覆盖有高分子聚合材料"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744167510294529,"indNo":5,"isActive":1,"desc":"BioSTAR封堵器，是把经过处理的猪小肠覆盖在MP35NSTARFlex支架上制成的，是一种可以吸收的封堵器"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"oth","id":1463744168311406593,"indNo":6,"isActive":1,"desc":"其他封堵器材料"},{"formItemId":1463743763573653505,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1491954495914020865,"indNo":7,"isActive":1,"desc":"无法确定,或者无记录"}]'><div style="display:inline-block;width:35%;" title="ASD-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>常用房间隔缺损封堵器的材料</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743763573653505" itemCode="ASD-2-1-3"><a id="1463743763573653505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743763573653505_Note"></span></div><div class="itemTR" id="1463743765855354881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-2-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他封堵器</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743765855354881" itemCode="ASD-2-1-3-1"><a id="1463743765855354881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743765855354881_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('ASD-3: 术中验证房间隔缺损手术效果的措施')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-3: 术中验证房间隔缺损手术效果的措施</div><div title="ASD-3: 术中验证房间隔缺损手术效果的措施"><p title="术中使用经食道超声" class="itemsubCat">术中使用经食道超声</p><div class="itemTR" id="1463743777792344065_Row" dic='[{"formItemId":1463743777792344065,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744176268001282,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743777792344065,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744177102667777,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中使用经食道超声</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743777792344065" itemCode="ASD-3-2-1"></div><a id="1463743777792344065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743777792344065_Note"></span></div><div class="itemTR" id="1725347326542757889_Row" dic='[{"formItemId":1725347326542757889,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1725347363020619777,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725347326542757889,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1725347363133865986,"indNo":2,"isActive":1,"desc":"无，或星点状分流"},{"formItemId":1725347326542757889,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1725347363188391937,"indNo":3,"isActive":1,"desc":"有，分流＜5 mm"},{"formItemId":1725347326542757889,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1725347363255500802,"indNo":4,"isActive":1,"desc":"有, 分流≥5 mm"}]'><div style="display:inline-block;width:35%;" title="ASD-3-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中食道超声评价房间隔缺损封堵术后瓣周的分流</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725347326542757889" itemCode="ASD-3-2-2"><a id="1725347326542757889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725347326542757889_Note"></span></div><p title="体外循环使用时间" class="itemsubCat">体外循环使用时间</p><div class="itemTR" id="1463743767998644225_Row" dic='[{"formItemId":1463743767998644225,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744170043654145,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743767998644225,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744170882514945,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-1-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用体外循环</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743767998644225" itemCode="ASD-3-1-0"></div><a id="1463743767998644225_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743767998644225_Note"></span></div><div class="itemTR" id="1463743770120962050_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743770120962050" itemCode="ASD-3-1-1"><a id="1463743770120962050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743770120962050_Note"></span></div><div class="itemTR" id="1463743773447045122_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>终止日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743773447045122" itemCode="ASD-3-1-2"><a id="1463743773447045122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743773447045122_Note"></span></div><p title="术中是否再次阻断主动脉" class="itemsubCat">术中是否再次阻断主动脉</p><div class="itemTR" id="1463743775602917377_Row" dic='[{"formItemId":1463743775602917377,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744173764001794,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743775602917377,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744174640611329,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中是否再次阻断主动脉</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743775602917377" itemCode="ASD-3-2-1-1"></div><a id="1463743775602917377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743775602917377_Note"></span></div><p title="围术期使用血制品" class="itemsubCat">围术期使用血制品</p><div class="itemTR" id="1463743788282298370_Row" dic='[{"formItemId":1463743788282298370,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744181213085697,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743788282298370,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744182022586370,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否围术期使用血制品</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743788282298370" itemCode="ASD-3-3-1"></div><a id="1463743788282298370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743788282298370_Note"></span></div><div class="itemTR" id="1463743790714994689_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中:全血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743790714994689" itemCode="ASD-3-3-2"><a id="1463743790714994689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743790714994689_Note"></span></div><div class="itemTR" id="1463743793244160002_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中:红细胞量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743793244160002" itemCode="ASD-3-3-3"><a id="1463743793244160002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743793244160002_Note"></span></div><div class="itemTR" id="1463743795387449345_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中:血浆量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743795387449345" itemCode="ASD-3-3-4"><a id="1463743795387449345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743795387449345_Note"></span></div><div class="itemTR" id="1463743799036493825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中:血小板量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743799036493825" itemCode="ASD-3-3-5"><a id="1463743799036493825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743799036493825_Note"></span></div><div class="itemTR" id="1463743801355943938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床用血总量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743801355943938" itemCode="ASD-3-3-6"><a id="1463743801355943938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743801355943938_Note"></span></div><p title="术后机械通气时间" class="itemsubCat">术后机械通气时间</p><div class="itemTR" id="1463743803646033922_Row" dic='[{"formItemId":1463743803646033922,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744183641587713,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743803646033922,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744184451088386,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后是否实施机械通气</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743803646033922" itemCode="ASD-3-4-1"></div><a id="1463743803646033922_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743803646033922_Note"></span></div><div class="itemTR" id="1463743805839654913_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743805839654913" itemCode="ASD-3-4-2"><a id="1463743805839654913_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743805839654913_Note"></span></div><div class="itemTR" id="1463743808075218946_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ASD-3-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>终止日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743808075218946" itemCode="ASD-3-4-3"><a id="1463743808075218946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743808075218946_Note"></span></div><div class="itemTR" id="1463743810361114625_Row" dic='[{"formItemId":1463743810361114625,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744186057506818,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743810361114625,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744186837647362,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ASD-3-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后机械通气时间≥24小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743810361114625" itemCode="ASD-3-4-4"></div><a id="1463743810361114625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743810361114625_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('ASD-4: 围术期抗菌药物应用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-4: 围术期抗菌药物应用情况</div><div title="ASD-4: 围术期抗菌药物应用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463743812617650177_Row" dic='[{"formItemId":1463743812617650177,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744188590866433,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743812617650177,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744189442310146,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用预防性抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743812617650177" itemCode="CM-1-1-1"></div><a id="1463743812617650177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743812617650177_Note"></span></div><div class="itemTR" id="1463743814958071810_Row" dic='[{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744191094865922,"indNo":1,"isActive":1,"desc":"青霉素类"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744191916949506,"indNo":2,"isActive":1,"desc":"多西环素"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744192713867265,"indNo":3,"isActive":1,"desc":"大环内酯类"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744193502396418,"indNo":4,"isActive":1,"desc":"第一代或第二代头孢菌素"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744194299314178,"indNo":5,"isActive":1,"desc":"喹诺酮类"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"f","id":1463744195096231937,"indNo":6,"isActive":1,"desc":"β-内酰胺类/β-内酰胺酶抑制剂"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"g","id":1463744195884761090,"indNo":7,"isActive":1,"desc":"碳青霉烯类及替加环素等特殊使用级抗菌药物"},{"formItemId":1463743814958071810,"isDefault":0,"updateDate":1710291760000,"code":"oth","id":1463744196681678849,"indNo":8,"isActive":1,"desc":"其他（需注明抗菌药物名称）"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防性抗菌药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463743814958071810" itemCode="CM-1-2-1-2"></div><a id="1463743814958071810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743814958071810_Note"></span></div><div class="itemTR" id="1463743817252356098_Row" dic='[{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744198237765634,"indNo":1,"isActive":1,"desc":"替加环素"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744199026294786,"indNo":2,"isActive":1,"desc":"亚胺培南西司他丁钠"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744199860961282,"indNo":3,"isActive":1,"desc":"美罗培南"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744200670461954,"indNo":4,"isActive":1,"desc":"厄他培南"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744201458991105,"indNo":5,"isActive":1,"desc":"比阿培南"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"f","id":1463744202239131649,"indNo":6,"isActive":1,"desc":"万古霉素"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"g","id":1463744203036049409,"indNo":7,"isActive":1,"desc":"去甲万古霉素"},{"formItemId":1463743817252356098,"isDefault":0,"updateDate":1710291760000,"code":"oth","id":1463744203828772866,"indNo":8,"isActive":1,"desc":"其他特殊使用级抗菌药物"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择碳青霉烯类及替加环素等特殊使用级抗菌药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463743817252356098" itemCode="CM-1-2-2-2"></div><a id="1463743817252356098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743817252356098_Note"></span></div><div class="itemTR" id="1463743828866383873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他特殊使用级抗菌药物名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743828866383873" itemCode="CM-1-2-2-1"><a id="1463743828866383873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743828866383873_Note"></span></div><div class="itemTR" id="1463743833861799937_Row" dic='[{"formItemId":1463743833861799937,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744205405831169,"indNo":1,"isActive":1,"desc":"临床医师认为有使用规范内的抗菌药物治疗的禁忌症者"},{"formItemId":1463743833861799937,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744206198554625,"indNo":2,"isActive":1,"desc":"甲氧西林葡萄球菌发生率高的医疗机构，可选用去甲万古霉素预防感染"},{"formItemId":1463743833861799937,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744206991278082,"indNo":3,"isActive":1,"desc":"临床主任医师下达医嘱，认为有使用《特殊使用级抗菌药物》的指征"},{"formItemId":1463743833861799937,"isDefault":0,"updateDate":1710291760000,"code":"oth","id":1463744207775612929,"indNo":4,"isActive":1,"desc":"其他因素"},{"formItemId":1463743833861799937,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1463744208597696514,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463743833861799937" itemCode="CM-1-3-1-2"></div><a id="1463743833861799937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743833861799937_Note"></span></div><div class="itemTR" id="1463743840279085058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743840279085058" itemCode="CM-1-3-1-1"><a id="1463743840279085058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743840279085058_Note"></span></div><div class="itemTR" id="1463743842502066178_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743842502066178" itemCode="CM-1-4-1"><a id="1463743842502066178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743842502066178_Note"></span></div><p title="术中追加抗菌药物" class="itemsubCat">术中追加抗菌药物</p><div class="itemTR" id="1463743844720852994_Row" dic='[{"formItemId":1463743844720852994,"isDefault":0,"updateDate":1710291760000,"code":"y","matchRule":"","updateUser":"admin","id":1463744210321555457,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463743844720852994,"isDefault":1,"updateDate":1710291760000,"code":"n","matchRule":"","updateUser":"admin","id":1463744211198164994,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时间是否≥3小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743844720852994" itemCode="CM-1-5-1"></div><a id="1463743844720852994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743844720852994_Note"></span></div><div class="itemTR" id="1463743846822199297_Row" dic='[{"formItemId":1463743846822199297,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744212817166338,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743846822199297,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744213622472706,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743846822199297" itemCode="CM-1-5-2"></div><a id="1463743846822199297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743846822199297_Note"></span></div><div class="itemTR" id="1463743848936128514_Row" dic='[{"formItemId":1463743848936128514,"isDefault":0,"updateDate":1710291760000,"code":"y","matchRule":"","updateUser":"admin","id":1463744215509909505,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463743848936128514,"isDefault":1,"updateDate":1710291760000,"code":"n","matchRule":"","updateUser":"admin","id":1463744217422512129,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743848936128514" itemCode="CM-1-5-3"></div><a id="1463743848936128514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743848936128514_Note"></span></div><div class="itemTR" id="1463743851159109633_Row" dic='[{"formItemId":1463743851159109633,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744220530491394,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743851159109633,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744221348380674,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743851159109633" itemCode="CM-1-5-4"></div><a id="1463743851159109633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743851159109633_Note"></span></div><div class="itemTR" id="1491954492206256129_Row" dic='[{"formItemId":1491954492206256129,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1491954496421531649,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1491954492206256129,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1491954496429920258,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后是否使用抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491954492206256129" itemCode="CM-1-6-4"></div><a id="1491954492206256129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491954492206256129_Note"></span></div><div class="itemTR" id="1463743853294010369_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743853294010369" itemCode="CM-1-6-1"><a id="1463743853294010369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743853294010369_Note"></span></div><div class="itemTR" id="1463743857538646017_Row" dic='[{"formItemId":1463743857538646017,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744229074288642,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者/患儿家长"},{"formItemId":1463743857538646017,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744229875400705,"indNo":2,"isActive":1,"desc":"术前24小时-48小时内接受抗菌药物治疗的患者/患儿家长，术后仍需继续使用"},{"formItemId":1463743857538646017,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744230672318466,"indNo":3,"isActive":1,"desc":"在手术两天后，被确诊为感染者并行治疗的患者/患儿家长"},{"formItemId":1463743857538646017,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744231486013441,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗适应症的患者/患儿家长，并经上级医师认定"},{"formItemId":1463743857538646017,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1463744232266153986,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463743857538646017" itemCode="CM-1-6-3-2"></div><a id="1463743857538646017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743857538646017_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('ASD-5: 术后活动性出血或血肿再手术情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-5: 术后活动性出血或血肿再手术情况</div><div title="ASD-5: 术后活动性出血或血肿再手术情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463743859669352450_Row" 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dic='[{"formItemId":1463743861829419009,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744236275908610,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743861829419009,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744237060243457,"indNo":2,"isActive":1,"desc":"术后第一小时引流≥400毫升"},{"formItemId":1463743861829419009,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744237857161218,"indNo":3,"isActive":1,"desc":"术后连续三小时每小时引流≥150毫升"},{"formItemId":1463743861829419009,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744238645690370,"indNo":4,"isActive":1,"desc":"血肿形成"},{"formItemId":1463743861829419009,"isDefault":0,"updateDate":1710291760000,"code":"UTD","id":1463744239442608130,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ASD-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后活动性出血或血肿主要情况</div><input placeholder="点击选择" class="Combo" type="text" 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id="1463743864408915969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743864408915969_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('ASD-6: 手术后并发症')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-6: 手术后并发症</div><div title="ASD-6: 手术后并发症"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463743866644480002_Row" dic='[{"formItemId":1463743866644480002,"isDefault":0,"updateDate":1710291760000,"code":"y","id":1463744243636912130,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463743866644480002,"isDefault":1,"updateDate":1710291760000,"code":"n","id":1463744244463190017,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743866644480002" itemCode="CM-2-1"></div><a id="1463743866644480002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743866644480002_Note"></span></div><div class="itemTR" id="1463743868913598466_Row" dic='[{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744246275129345,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744247277568001,"indNo":2,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.3，T81.7，T81.8)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744248099651586,"indNo":3,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744248921735169,"indNo":4,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744249706070018,"indNo":5,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744250502987777,"indNo":6,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"f","id":1463744251295711234,"indNo":7,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"g","id":1463744252092628994,"indNo":8,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"h","id":1463744253103456257,"indNo":9,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"i","id":1463744253883596801,"indNo":10,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86.x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"j","id":1463744254663737345,"indNo":11,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"k","id":1463744255443877890,"indNo":12,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"l","id":1463744256328876034,"indNo":13,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"m","id":1463744257117405186,"indNo":14,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"n","id":1463744257914322945,"indNo":15,"isActive":1,"desc":"住院患者/患儿家长发生压疮(L89.0至L89.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"o","id":1463744258698657794,"indNo":16,"isActive":1,"desc":"循环系统术后并发症(I97.0至I97.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"p","id":1463744259491381250,"indNo":17,"isActive":1,"desc":"心脏和血管植入物的并发症（不包括脓毒症）(T82.0至T82.9)"},{"formItemId":1463743868913598466,"isDefault":0,"updateDate":1710291760000,"code":"q","id":1463744260288299010,"indNo":18,"isActive":1,"desc":"术后并发脑卒中/脑血管事件(I61-I64)"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743868913598466" itemCode="CM-2-2"><a id="1463743868913598466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743868913598466_Note"></span></div><div class="itemTR" id="1463743871136579585_Row" dic='[{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744262142181378,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744264159641601,"indNo":2,"isActive":1,"desc":"O04.5医疗性流产,完全性或未特指,并发生殖道和盆腔感染"},{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744265082388481,"indNo":3,"isActive":1,"desc":"T81.1在操作中发生或由于操作造成的休克,不可归类在他处者"},{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744265900277762,"indNo":4,"isActive":1,"desc":"T81.2在操作中意外的穿刺和撕裂,不可归类在他处者"},{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744266709778433,"indNo":5,"isActive":1,"desc":"T81.7操作后的血管并发症,不可归类在他处者"},{"formItemId":1463743871136579585,"isDefault":0,"updateDate":1710291760000,"code":"e","id":1463744267510890498,"indNo":6,"isActive":1,"desc":"T81.8操作的其他并发症,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743871136579585" itemCode="CM-2-3-1"><a id="1463743871136579585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743871136579585_Note"></span></div><div class="itemTR" id="1463743873300840449_Row" dic='[{"formItemId":1463743873300840449,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744269113114626,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743873300840449,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744271638085634,"indNo":2,"isActive":1,"desc":"I26.9肺栓塞未提及急性肺源性心脏病"},{"formItemId":1463743873300840449,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744272447586306,"indNo":3,"isActive":1,"desc":"O04.2医疗性流产,不完全性,并发栓塞"},{"formItemId":1463743873300840449,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744273227726849,"indNo":4,"isActive":1,"desc":"O07.2医疗性流产失败,并发栓塞"},{"formItemId":1463743873300840449,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744274041421826,"indNo":5,"isActive":1,"desc":"O88.2产科血凝块栓塞"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后肺栓塞例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743873300840449" itemCode="CM-2-3-2"><a id="1463743873300840449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743873300840449_Note"></span></div><div class="itemTR" id="1463743875511238658_Row" dic='[{"formItemId":1463743875511238658,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744275643645954,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743875511238658,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744276448952322,"indNo":2,"isActive":1,"desc":"I80.2下肢其他深部脉管的静脉炎和血栓性静脉炎"},{"formItemId":1463743875511238658,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744277266841601,"indNo":3,"isActive":1,"desc":"I82.8其他特指的静脉栓塞和血栓形成"},{"formItemId":1463743875511238658,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744278088925186,"indNo":4,"isActive":1,"desc":"O22.3妊娠期深静脉血栓形成"},{"formItemId":1463743875511238658,"isDefault":0,"updateDate":1710291760000,"code":"d","id":1463744278919397378,"indNo":5,"isActive":1,"desc":"O87.1产褥期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后深静脉血栓例数</div><input placeholder="点击选择" class="Combo" 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style="display:inline-block;width:35%;" title="CM-2-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后出血或血肿例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743879852343298" itemCode="CM-2-3-5"><a id="1463743879852343298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743879852343298_Note"></span></div><div class="itemTR" id="1463743882024992769_Row" dic='[{"formItemId":1463743882024992769,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744289296105473,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743882024992769,"isDefault":0,"updateDate":1710291760000,"code":"a","id":1463744290113994753,"indNo":2,"isActive":1,"desc":"T81.3手术伤口破裂,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术伤口裂开</div><div 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class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743884218613761" itemCode="CM-2-3-7"><a id="1463743884218613761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743884218613761_Note"></span></div><div class="itemTR" id="1463743886374486017_Row" 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title="CM-2-3-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>麻醉并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743894960226305" itemCode="CM-2-3-12"><a id="1463743894960226305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743894960226305_Note"></span></div><div class="itemTR" id="1463743897237733377_Row" 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title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463743955622445057" itemCode="CM-5-1"></div><a id="1463743955622445057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743955622445057_Note"></span></div><div class="itemTR" id="1463743957778317313_Row" 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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743957778317313_Note"></span></div><div class="itemTR" id="1463743960043241473_Row" dic='[{"formItemId":1463743960043241473,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744497920786433,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743960043241473,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744498793201666,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1463743960043241473,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744499606896642,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1463743960043241473,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744500470923265,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者/患儿家长推荐</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743960043241473" itemCode="CM-5-2-2"><a id="1463743960043241473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743960043241473_Note"></span></div><div class="itemTR" id="1463743962257833985_Row" dic='[{"formItemId":1463743962257833985,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744502043787265,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743962257833985,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744502823927809,"indNo":2,"isActive":1,"desc":"患者说他们的房间和浴室“总是”干净"},{"formItemId":1463743962257833985,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744503620845570,"indNo":3,"isActive":1,"desc":"患者说他们的房间和浴室“经常”干净"},{"formItemId":1463743962257833985,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744504489066498,"indNo":4,"isActive":1,"desc":"患者说他们的房间和浴室“有时”或“从不”干净"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房、床单元和卫生间清洁度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743962257833985" itemCode="CM-5-2-3"><a id="1463743962257833985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743962257833985_Note"></span></div><div class="itemTR" id="1463743964380151809_Row" dic='[{"formItemId":1463743964380151809,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744506066124801,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743964380151809,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744506863042561,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1463743964380151809,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744507659960322,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1463743964380151809,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744508448489474,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743964380151809" itemCode="CM-5-2-5"><a id="1463743964380151809_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743964380151809_Note"></span></div><div class="itemTR" id="1463743966502469634_Row" dic='[{"formItemId":1463743966502469634,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744510012964865,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743966502469634,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744510822465537,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463743966502469634,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744511606800385,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463743966502469634,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744512424689665,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743966502469634" itemCode="CM-5-2-6"><a id="1463743966502469634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743966502469634_Note"></span></div><div class="itemTR" id="1463743968679313410_Row" dic='[{"formItemId":1463743968679313410,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744514031108097,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743968679313410,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744514819637250,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463743968679313410,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744515603972097,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463743968679313410,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744516396695553,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743968679313410" itemCode="CM-5-2-7"><a id="1463743968679313410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743968679313410_Note"></span></div><div class="itemTR" id="1463743970994569217_Row" dic='[{"formItemId":1463743970994569217,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744518095388674,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743970994569217,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744518892306434,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463743970994569217,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744519739555842,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463743970994569217,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744520528084994,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743970994569217" itemCode="CM-5-2-8"><a id="1463743970994569217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743970994569217_Note"></span></div><div class="itemTR" id="1463743973343379457_Row" dic='[{"formItemId":1463743973343379457,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744522142892034,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743973343379457,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744522977558530,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463743973343379457,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744523904499713,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463743973343379457,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744524718194690,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743973343379457" itemCode="CM-5-2-9"><a id="1463743973343379457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743973343379457_Note"></span></div><div class="itemTR" id="1463743975495057410_Row" dic='[{"formItemId":1463743975495057410,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744526316224514,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743975495057410,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744527108947969,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463743975495057410,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744530061737985,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463743975495057410,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744530883821569,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743975495057410" itemCode="CM-5-2-10"><a id="1463743975495057410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743975495057410_Note"></span></div><div class="itemTR" id="1463743977629958145_Row" dic='[{"formItemId":1463743977629958145,"isDefault":0,"updateDate":1710291760000,"code":"def","id":1463744532687372290,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463743977629958145,"isDefault":1,"updateDate":1710291760000,"code":"a","updateUser":"batch","id":1463744533496872961,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463743977629958145,"isDefault":0,"updateDate":1710291760000,"code":"b","id":1463744534281207809,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463743977629958145,"isDefault":0,"updateDate":1710291760000,"code":"c","id":1463744535065542658,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743977629958145" itemCode="CM-5-2-11"><a id="1463743977629958145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743977629958145_Note"></span></div></div><div class="itemCat" id="Title12" onclick="objScreen.toggle('ASD-12: 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ASD-12: 住院费用</div><div title="ASD-12: 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463743979790024706_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743979790024706" itemCode="CM-6-1"><a id="1463743979790024706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743979790024706_Note"></span></div><div class="itemTR" id="1463743981929119746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743981929119746" itemCode="CM-6-2"><a id="1463743981929119746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743981929119746_Note"></span></div><div class="itemTR" id="1463743984160489473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743984160489473" itemCode="CM-6-3"><a id="1463743984160489473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743984160489473_Note"></span></div><div class="itemTR" id="1463743986312167426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743986312167426" itemCode="CM-6-4"><a id="1463743986312167426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743986312167426_Note"></span></div><div class="itemTR" id="1463743988489011202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743988489011202" itemCode="CM-6-5"><a id="1463743988489011202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743988489011202_Note"></span></div><div class="itemTR" id="1463743990711992322_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743990711992322" itemCode="CM-6-6"><a id="1463743990711992322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743990711992322_Note"></span></div><div class="itemTR" id="1463743992888836098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743992888836098" itemCode="CM-6-7"><a id="1463743992888836098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743992888836098_Note"></span></div><div class="itemTR" id="1463743995048902658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743995048902658" itemCode="CM-6-8"><a id="1463743995048902658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743995048902658_Note"></span></div><div class="itemTR" id="1463743997213163522_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743997213163522" itemCode="CM-6-9"><a id="1463743997213163522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743997213163522_Note"></span></div><div class="itemTR" id="1463743999360647170_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463743999360647170" itemCode="CM-6-10"><a id="1463743999360647170_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463743999360647170_Note"></span></div><div class="itemTR" id="1463744001524908034_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744001524908034" itemCode="CM-6-11"><a id="1463744001524908034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744001524908034_Note"></span></div><div class="itemTR" id="1463744003689168898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744003689168898" itemCode="CM-6-12"><a id="1463744003689168898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744003689168898_Note"></span></div><div class="itemTR" id="1463744005878595586_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744005878595586" itemCode="CM-6-13"><a id="1463744005878595586_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744005878595586_Note"></span></div><div class="itemTR" id="1463744008042856449_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744008042856449" itemCode="CM-6-14"><a id="1463744008042856449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744008042856449_Note"></span></div><div class="itemTR" id="1463744010194534402_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744010194534402" itemCode="CM-6-15"><a id="1463744010194534402_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744010194534402_Note"></span></div><div class="itemTR" id="1463744012388155393_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744012388155393" itemCode="CM-6-16"><a id="1463744012388155393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744012388155393_Note"></span></div><div class="itemTR" id="1463744014518861826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744014518861826" itemCode="CM-6-17"><a id="1463744014518861826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744014518861826_Note"></span></div><div class="itemTR" id="1463744016708288513_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744016708288513" itemCode="CM-6-18"><a id="1463744016708288513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744016708288513_Note"></span></div><div class="itemTR" id="1463744018910298113_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744018910298113" itemCode="CM-6-19"><a id="1463744018910298113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744018910298113_Note"></span></div><div class="itemTR" id="1463744021141667841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744021141667841" itemCode="CM-6-20"><a id="1463744021141667841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744021141667841_Note"></span></div><div class="itemTR" id="1463744023507255297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744023507255297" itemCode="CM-6-21"><a id="1463744023507255297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744023507255297_Note"></span></div><div class="itemTR" id="1463744025927368706_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744025927368706" itemCode="CM-6-22"><a id="1463744025927368706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744025927368706_Note"></span></div><div class="itemTR" id="1463744028133572610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744028133572610" itemCode="CM-6-23"><a id="1463744028133572610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744028133572610_Note"></span></div><div class="itemTR" id="1463744030402691073_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744030402691073" itemCode="CM-6-24"><a id="1463744030402691073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744030402691073_Note"></span></div><div class="itemTR" id="1463744032529203201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744032529203201" itemCode="CM-6-25"><a id="1463744032529203201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744032529203201_Note"></span></div><div class="itemTR" id="1463744034727018498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744034727018498" itemCode="CM-6-26"><a id="1463744034727018498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744034727018498_Note"></span></div><div class="itemTR" id="1463744037155520514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744037155520514" itemCode="CM-6-27"><a id="1463744037155520514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744037155520514_Note"></span></div><div class="itemTR" id="1463744039340752898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744039340752898" itemCode="CM-6-28"><a id="1463744039340752898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744039340752898_Note"></span></div><div class="itemTR" id="1463744041635037186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744041635037186" itemCode="CM-6-29"><a id="1463744041635037186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744041635037186_Note"></span></div><div class="itemTR" id="1463744043832852482_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463744043832852482" itemCode="CM-6-30"><a id="1463744043832852482_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463744043832852482_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>ASD-1: 术前评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>ASD-2: 手术适应证</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>ASD-3: 术中验证房间隔缺损手术效果的措施</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>ASD-4: 围术期抗菌药物应用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>ASD-5: 术后活动性出血或血肿再手术情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>ASD-6: 手术后并发症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>ASD-7: 住院期间为患者提供术前、术后健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>ASD-8: 手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>ASD-9: 手术后镇痛治疗</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>ASD-10: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>ASD-11: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>ASD-12: 住院费用</a></li></ul></div>
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